# CHARLOTTE MENTAL HEALTH SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366231466
- **Authorized official:** KATHRYN MONTGOMERY (FOUNDER)
- **Authorized official phone:** (704) 609-2452

## Contact information

- **Practice address:** 5950 FAIRVIEW RD STE 619, CHARLOTTE, NC 28210-3175
- **Practice address phone:** (704) 266-0890
- **Mailing address:** 5950 FAIRVIEW RD STE 619, CHARLOTTE, NC 28210-3175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2025
- **Last updated:** 05/05/2025